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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

HOLY REDEEMER HOSPITAL AND MEDICAL CENTER

Meadowbrook, PA · CCN 390097 · Rates published

16,448 distinct procedures filed
10 distinct payers
191,408 rate rows
2025-09-24 last MRF observed
Data quality

143,435 of 191,408 rate rows are consumer-grade (74.9%)

47,973 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 44,688
template filing: same amount across many unrelated codes — excluded 3,115
per-diem day rate — not a per-procedure price 107
placeholder amount (≤ $0.02) — excluded from medians 35
exceeds 10× this hospital's gross charge — excluded from medians 16
percent-of-charges filed in the dollar field — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8118/231534300_holy-redeemer-health-system_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/HolyRedeemerHealthSystem/8118
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint e16d78aeb9cc4897… · 87,442,287 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $4,377,500.00 $4,662,037.50 $4,596,375.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,710,000.00 $3,951,150.00 $3,895,500.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,685,266.67 $3,924,809.00 $3,869,530.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,324,571.90 $3,540,669.07 $3,490,800.50 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,261,355.00 $3,473,343.08 $3,424,422.75 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,950,686.67 $3,142,481.30 $3,098,221.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,452,115.60 $2,611,503.11 $2,574,721.38 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $2,483,580.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,155,930.00 $816,857.20 nat. median
$824,563
1.0× median
5834
APR_DRG 		Neonate With Ecmo 3 $608,286.67 $661,875.74 $626,667.16 nat. median
$309,665
outlier · 2.0×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $578,324.58 $867,486.87 $613,024.05 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $310,000.00 $830,068.25 $583,814.67 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $328,240.00 $812,453.49 $571,425.62 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $335,600.00 $811,890.67 $571,029.77 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $245,394.70 $799,614.71 $562,395.68 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $487,600.00 $734,580.00 $516,654.60 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $287,058.31 $672,079.81 $439,485.53 nat. median
$370,174
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $396,837.75 $431,798.51 $408,828.92 nat. median
$246,434
1.7× median
5833
APR_DRG 		Neonate With Ecmo 3 $394,067.53 $428,784.24 $405,974.99 nat. median
$244,017
1.7× median
24
APR_DRG 		Heart And/or Lung Transplant 3 $351,436.12 $382,397.08 $362,055.40 nat. median
$234,729
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $214,457.47 $501,987.27 $335,526.64 nat. median
$265,286
1.3× median
5832
APR_DRG 		Neonate With Ecmo 3 $302,571.45 $329,227.51 $311,714.19 nat. median
$156,126
2.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $301,179.42 $327,712.84 $310,280.10 nat. median
$207,730
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $289,479.15 $314,981.79 $298,226.28 nat. median
$150,721
2.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $285,513.78 $310,667.08 $294,141.10 nat. median
$160,267
1.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $270,375.00 $405,562.50 $286,597.50 nat. median
$324,450
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $260,922.34 $283,909.18 $268,806.58 nat. median
$162,982
1.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $258,092.52 $280,830.05 $265,891.25 nat. median
$182,665
1.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $256,160.92 $278,728.28 $263,901.29 nat. median
$122,924
outlier · 2.1×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $252,096.58 $274,305.88 $259,714.14 nat. median
$164,289
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 8 $163,214.33 $381,932.54 $247,927.85 nat. median
$202,976
1.2× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $239,746.05 $260,867.29 $246,990.41 nat. median
$117,173
outlier · 2.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $239,290.56 $260,371.67 $246,521.15 nat. median
$187,061
1.3× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $238,091.16 $259,066.60 $245,285.51 nat. median
$164,834
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 8 $180,642.49 $422,764.02 $243,450.35 nat. median
$206,474
1.2× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $233,757.56 $254,351.23 $240,820.97 nat. median
$151,838
1.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $226,470.70 $246,422.40 $233,313.92 nat. median
$145,336
1.6× median
5831
APR_DRG 		Neonate With Ecmo 3 $219,928.80 $239,304.17 $226,574.35 nat. median
$144,745
1.6× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 $216,218.85 $235,267.39 $222,752.30 nat. median
$109,499
outlier · 2.0×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $212,805.83 $231,553.68 $219,236.14 nat. median
$129,535
1.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $211,347.82 $229,967.22 $217,734.08 nat. median
$105,658
outlier · 2.1×
1613
APR_DRG 		Implantable Heart Assist Systems 3 $203,785.32 $221,738.47 $209,943.06 nat. median
$119,796
1.8× median
23
APR_DRG 		Heart And/or Lung Transplant 3 $197,329.62 $214,714.04 $203,292.30 nat. median
$93,528
outlier · 2.2×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $194,118.81 $211,220.36 $199,984.46 nat. median
$124,573
1.6× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $187,116.09 $203,600.72 $192,770.14 nat. median
$102,919
1.9× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $175,718.06 $191,198.54 $181,027.70 nat. median
$97,957
1.8× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $173,583.19 $188,875.59 $178,828.32 nat. median
$118,620
1.5× median
1612
APR_DRG 		Implantable Heart Assist Systems 3 $163,582.51 $177,993.86 $168,525.45 nat. median
$85,444
2.0× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $162,120.24 $176,402.77 $167,019.00 nat. median
$108,996
1.5× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 8 $107,674.25 $251,810.73 $165,972.57 nat. median
$133,161
1.2× median

Other procedures at this hospital

Browse this hospital's 16,448 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 7 7 — — $4,377,500.00 $4,662,037.50 $4,596,375.00 2025-09-24
J1414 HCPCS Inj, Beqvez, Per Tx Dose 7 7 — — $3,710,000.00 $3,951,150.00 $3,895,500.00 2025-09-24
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 7 — — $3,685,266.67 $3,924,809.00 $3,869,530.00 2025-09-24
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 7 — — $3,324,571.90 $3,540,669.07 $3,490,800.50 2025-09-24
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 7 — — $3,261,355.00 $3,473,343.08 $3,424,422.75 2025-09-24
J3393 HCPCS Inj, Betibeglogene Autotemce 7 7 — — $2,950,686.67 $3,142,481.30 $3,098,221.00 2025-09-24
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 7 — — $2,452,115.60 $2,611,503.11 $2,574,721.38 2025-09-24
J3392 HCPCS Inj, Exagamglogene Autotem 7 7 — — $2,332,000.00 $2,483,580.00 $2,448,600.00 2025-09-24
Q2057 HCPCS Afamitresgene Autoleucel 7 7 — — $770,620.00 $1,155,930.00 $816,857.20 2025-09-24
5834 APR_DRG Neonate With Ecmo 3 3 — — $608,286.67 $661,875.74 $626,667.16 2025-09-24
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 7 — — $578,324.58 $867,486.87 $613,024.05 2025-09-24
Q2056 HCPCS Ciltacabtagene Car-pos T 8 7 — — $310,000.00 $830,068.25 $583,814.67 2025-09-24
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 7 — — $328,240.00 $812,453.49 $571,425.62 2025-09-24
Q2055 HCPCS Idecabtagene Vicleucel Car 8 7 — — $335,600.00 $811,890.67 $571,029.77 2025-09-24
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 7 — — $245,394.70 $799,614.71 $562,395.68 2025-09-24
Q2053 HCPCS Brexucabtagene Car Pos T 8 7 — — $487,600.00 $734,580.00 $516,654.60 2025-09-24
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 8 — — $287,058.31 $672,079.81 $439,485.53 2025-09-24
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $396,837.75 $431,798.51 $408,828.92 2025-09-24
5833 APR_DRG Neonate With Ecmo 3 3 — — $394,067.53 $428,784.24 $405,974.99 2025-09-24
24 APR_DRG Heart And/or Lung Transplant 3 3 — — $351,436.12 $382,397.08 $362,055.40 2025-09-24
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 8 — — $214,457.47 $501,987.27 $335,526.64 2025-09-24
5832 APR_DRG Neonate With Ecmo 3 3 — — $302,571.45 $329,227.51 $311,714.19 2025-09-24
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $301,179.42 $327,712.84 $310,280.10 2025-09-24
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $289,479.15 $314,981.79 $298,226.28 2025-09-24
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $285,513.78 $310,667.08 $294,141.10 2025-09-24
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 7 7 — — $270,375.00 $405,562.50 $286,597.50 2025-09-24
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $260,922.34 $283,909.18 $268,806.58 2025-09-24
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $258,092.52 $280,830.05 $265,891.25 2025-09-24
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $256,160.92 $278,728.28 $263,901.29 2025-09-24
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $252,096.58 $274,305.88 $259,714.14 2025-09-24
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 12 8 — — $163,214.33 $381,932.54 $247,927.85 2025-09-24
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $239,746.05 $260,867.29 $246,990.41 2025-09-24
74 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $239,290.56 $260,371.67 $246,521.15 2025-09-24
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $238,091.16 $259,066.60 $245,285.51 2025-09-24
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 12 8 — — $180,642.49 $422,764.02 $243,450.35 2025-09-24
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $233,757.56 $254,351.23 $240,820.97 2025-09-24
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $226,470.70 $246,422.40 $233,313.92 2025-09-24
5831 APR_DRG Neonate With Ecmo 3 3 — — $219,928.80 $239,304.17 $226,574.35 2025-09-24
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $216,218.85 $235,267.39 $222,752.30 2025-09-24
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $212,805.83 $231,553.68 $219,236.14 2025-09-24
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $211,347.82 $229,967.22 $217,734.08 2025-09-24
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $203,785.32 $221,738.47 $209,943.06 2025-09-24
23 APR_DRG Heart And/or Lung Transplant 3 3 — — $197,329.62 $214,714.04 $203,292.30 2025-09-24
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $194,118.81 $211,220.36 $199,984.46 2025-09-24
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $187,116.09 $203,600.72 $192,770.14 2025-09-24
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $175,718.06 $191,198.54 $181,027.70 2025-09-24
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $173,583.19 $188,875.59 $178,828.32 2025-09-24
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $163,582.51 $177,993.86 $168,525.45 2025-09-24
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $162,120.24 $176,402.77 $167,019.00 2025-09-24
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 12 8 — — $107,674.25 $251,810.73 $165,972.57 2025-09-24
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $155,855.05 $169,585.63 $160,564.49 2025-09-24
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $155,020.68 $168,677.75 $159,704.91 2025-09-24
64 APR_DRG Pancreas Transplant 3 3 — — $153,086.95 $166,573.67 $157,712.75 2025-09-24
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $150,447.63 $163,701.83 $154,993.68 2025-09-24
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $147,242.14 $160,213.93 $151,691.33 2025-09-24
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $146,221.53 $159,103.41 $150,639.88 2025-09-24
7 MS_DRG Lung Transplant 12 8 — — $99,602.16 $232,899.08 $150,423.09 2025-09-24
22 APR_DRG Heart And/or Lung Transplant 3 3 — — $143,606.69 $156,258.20 $147,946.02 2025-09-24
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $141,893.26 $154,393.82 $146,180.82 2025-09-24
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $139,820.11 $152,138.04 $144,045.03 2025-09-24
14 MS_DRG Allogeneic Bone Marrow Transplant 12 8 — — $99,853.18 $233,487.18 $143,713.87 2025-09-24
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $138,226.94 $150,404.51 $142,403.72 2025-09-24
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $137,856.59 $150,001.53 $142,022.17 2025-09-24
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $133,030.25 $144,750.00 $137,050.00 2025-09-24
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $132,783.35 $144,481.34 $136,795.64 2025-09-24
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $132,528.99 $144,204.58 $136,533.60 2025-09-24
21 APR_DRG Heart And/or Lung Transplant 3 3 — — $132,067.11 $143,702.01 $136,057.76 2025-09-24
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 8 — — $84,015.56 $196,382.07 $131,360.34 2025-09-24
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $126,205.27 $137,323.75 $130,018.79 2025-09-24
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 8 — — $81,198.85 $189,782.96 $126,946.18 2025-09-24
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $123,129.61 $133,977.13 $126,850.19 2025-09-24
215 MS_DRG Other Heart Assist System Implant 12 8 — — $80,783.53 $188,809.93 $124,540.34 2025-09-24
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $120,053.95 $130,630.51 $123,681.59 2025-09-24
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $119,959.23 $130,527.44 $123,584.02 2025-09-24
84 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $118,602.32 $129,050.99 $122,186.11 2025-09-24
73 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $116,949.55 $127,252.62 $120,483.40 2025-09-24
453 MS_DRG Other Inpatient Services: Ms-DRG 3 1 — — $115,454.73 $119,776.93 $119,776.93 2025-09-24
8514 APR_DRG Gender Related Procedures 3 3 — — $115,160.56 $125,306.02 $118,640.35 2025-09-24
4404 APR_DRG Kidney Transplant 3 3 — — $112,104.06 $121,980.25 $115,491.49 2025-09-24
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 8 — — $73,605.22 $171,992.25 $115,045.94 2025-09-24
8634 APR_DRG Neonatal Aftercare 3 3 — — $110,795.04 $120,555.91 $114,142.91 2025-09-24
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 7 — — $106,120.90 $159,181.35 $112,488.15 2025-09-24
63 APR_DRG Pancreas Transplant 3 3 — — $108,754.89 $118,336.02 $112,041.12 2025-09-24
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $108,324.94 $117,868.19 $111,598.17 2025-09-24
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $107,819.42 $117,318.14 $111,077.38 2025-09-24
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $102,608.89 $111,648.57 $105,709.41 2025-09-24
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $100,603.86 $109,466.90 $103,643.79 2025-09-24
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $99,924.87 $108,728.09 $102,944.29 2025-09-24
13 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $99,551.33 $108,321.64 $102,559.45 2025-09-24
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $98,466.86 $107,141.63 $101,442.22 2025-09-24
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 8 — — $64,615.02 $150,929.61 $100,932.21 2025-09-24
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 8 — — $64,650.78 $151,013.37 $100,606.71 2025-09-24
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $97,422.84 $106,005.64 $100,366.65 2025-09-24
222 MS_DRG Other Inpatient Services: Ms-DRG 3 1 — — $96,623.58 $100,240.81 $100,240.81 2025-09-24
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 7 7 — — $93,216.70 $139,825.05 $98,809.70 2025-09-24
1784 APR_DRG External Heart Assist Systems 3 3 — — $95,758.37 $104,194.52 $98,651.88 2025-09-24
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $95,506.14 $103,920.08 $98,392.03 2025-09-24
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $95,226.25 $103,615.52 $98,103.68 2025-09-24
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $95,024.04 $103,395.50 $97,895.36 2025-09-24
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $94,155.62 $102,450.58 $97,000.70 2025-09-24
72 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $93,781.01 $102,042.96 $96,614.77 2025-09-24
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $93,320.19 $101,541.55 $96,140.03 2025-09-24
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 8 — — $61,510.78 $143,656.86 $96,092.35 2025-09-24
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $92,089.92 $100,202.90 $94,872.59 2025-09-24
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $91,370.50 $99,420.09 $94,131.42 2025-09-24
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $91,271.52 $99,312.40 $94,029.46 2025-09-24
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $91,193.83 $99,227.86 $93,949.42 2025-09-24
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $90,353.08 $98,313.04 $93,083.26 2025-09-24
224 MS_DRG Other Inpatient Services: Ms-DRG 3 1 — — $89,491.82 $92,842.06 $92,842.06 2025-09-24
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 8 — — $59,649.44 $139,296.06 $92,833.97 2025-09-24
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 8 — — $59,049.31 $137,889.99 $92,234.87 2025-09-24
71 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $89,091.95 $96,940.81 $91,784.03 2025-09-24
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 9 8 — — $83,058.65 $194,140.19 $91,287.42 2025-09-24
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $88,485.34 $96,280.75 $91,159.08 2025-09-24
62 APR_DRG Pancreas Transplant 3 3 — — $87,079.47 $94,751.03 $89,710.74 2025-09-24
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 8 — — $60,493.02 $141,272.41 $89,622.30 2025-09-24
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 8 — — $56,970.42 $133,019.51 $88,751.27 2025-09-24
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $86,004.59 $93,581.45 $88,603.37 2025-09-24
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $85,294.74 $92,809.07 $87,872.07 2025-09-24
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 8 — — $79,875.32 $186,682.10 $87,790.30 2025-09-24
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $84,475.27 $91,917.41 $87,027.85 2025-09-24
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $84,049.58 $91,454.21 $86,589.29 2025-09-24
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $83,451.47 $90,803.41 $85,973.11 2025-09-24
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $83,096.02 $90,416.64 $85,606.91 2025-09-24
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $82,866.14 $90,166.51 $85,370.09 2025-09-24
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 3 — — $82,756.52 $90,047.24 $85,257.16 2025-09-24
6904 APR_DRG Acute Leukemia 3 3 — — $82,315.93 $89,567.83 $84,803.25 2025-09-24
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $81,779.55 $88,984.19 $84,250.67 2025-09-24
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $81,722.08 $88,921.66 $84,191.46 2025-09-24
226 MS_DRG Other Inpatient Services: Ms-DRG 3 1 — — $80,840.45 $83,866.82 $83,866.82 2025-09-24
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $80,288.54 $87,361.84 $82,714.61 2025-09-24
914 APR_DRG Other Major Head And Neck Procedures 3 3 — — $80,048.03 $87,100.13 $82,466.82 2025-09-24
12 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $79,972.47 $87,017.91 $82,388.98 2025-09-24
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 12 8 — — $53,108.58 $123,971.79 $82,001.53 2025-09-24
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $79,224.30 $86,203.84 $81,618.21 2025-09-24
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $79,100.85 $86,069.51 $81,491.03 2025-09-24
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $78,741.14 $85,678.10 $81,120.44 2025-09-24
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 8 — — $52,133.40 $121,687.13 $80,935.39 2025-09-24
7594 APR_DRG Eating Disorders 3 3 — — $77,709.89 $84,556.00 $80,058.03 2025-09-24
1794 APR_DRG Defibrillator Implants 3 3 — — $77,605.59 $84,442.52 $79,950.58 2025-09-24
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $77,580.05 $84,414.73 $79,924.27 2025-09-24
454 MS_DRG Other Inpatient Services: Ms-DRG 3 1 — — $76,944.00 $79,824.50 $79,824.50 2025-09-24
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 8 — — $50,911.04 $118,823.30 $79,481.12 2025-09-24
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $76,919.15 $83,695.61 $79,243.41 2025-09-24
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $76,635.00 $83,386.42 $78,950.67 2025-09-24
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 3 — — $75,898.55 $82,585.09 $78,191.96 2025-09-24
1204 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $75,537.77 $82,192.52 $77,820.28 2025-09-24
850 MS_DRG Acute Leukemia With Other Procedures 9 8 — — $70,264.42 $164,165.27 $77,232.07 2025-09-24
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $74,931.15 $81,532.46 $77,195.33 2025-09-24
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 12 8 — — $49,386.67 $115,251.97 $77,092.26 2025-09-24
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 8 — — $50,996.99 $119,024.68 $76,671.79 2025-09-24
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 8 — — $49,315.93 $115,086.24 $76,418.49 2025-09-24
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $74,086.14 $80,613.01 $76,324.79 2025-09-24
274 APR_DRG Other Open Craniotomy 3 3 — — $73,808.38 $80,310.77 $76,038.63 2025-09-24
2324 APR_DRG Gastric Fundoplication 3 3 — — $73,307.12 $79,765.36 $75,522.22 2025-09-24
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 8 — — $48,299.69 $112,705.35 $75,388.82 2025-09-24
6954 APR_DRG Chemotherapy For Acute Leukemia 3 3 — — $72,946.34 $79,372.79 $75,150.55 2025-09-24
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $72,571.73 $78,965.18 $74,764.61 2025-09-24
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $72,492.97 $78,879.49 $74,683.48 2025-09-24
234 APR_DRG Spinal Procedures 3 3 — — $72,292.89 $78,661.78 $74,477.36 2025-09-24
1694 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $72,019.38 $78,364.18 $74,195.58 2025-09-24
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $71,167.99 $77,437.78 $73,318.46 2025-09-24
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 8 — — $46,872.71 $109,362.13 $73,152.54 2025-09-24
204 APR_DRG Open Craniotomy For Trauma 3 3 — — $70,544.35 $76,759.19 $72,675.97 2025-09-24
1783 APR_DRG External Heart Assist Systems 3 3 — — $70,534.77 $76,748.77 $72,666.10 2025-09-24
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 8 — — $46,105.97 $107,565.77 $71,950.95 2025-09-24
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $69,630.16 $75,764.47 $71,734.16 2025-09-24
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 8 — — $47,036.26 $109,745.28 $71,726.76 2025-09-24
11 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $69,535.44 $75,661.40 $71,636.58 2025-09-24
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 7 7 — — $67,452.66 $101,178.99 $71,499.82 2025-09-24
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 8 — — $45,762.91 $106,762.05 $71,413.33 2025-09-24
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 8 — — $46,659.72 $108,863.14 $71,368.51 2025-09-24
28 MS_DRG Spinal Procedures With Mcc 12 8 — — $46,437.62 $108,342.77 $71,328.06 2025-09-24
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 8 — — $45,447.24 $106,022.48 $70,918.64 2025-09-24
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 8 — — $44,952.06 $104,862.33 $70,142.61 2025-09-24
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $68,013.58 $74,005.46 $70,068.73 2025-09-24
4403 APR_DRG Kidney Transplant 3 3 — — $67,938.02 $73,923.25 $69,990.89 2025-09-24
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 8 — — $63,636.82 $148,637.83 $69,951.19 2025-09-24
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 3 — — $67,897.58 $73,879.24 $69,949.22 2025-09-24
1782 APR_DRG External Heart Assist Systems 3 3 — — $67,804.99 $73,778.50 $69,853.84 2025-09-24
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $66,924.86 $72,820.83 $68,947.11 2025-09-24
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $66,611.97 $72,480.38 $68,624.77 2025-09-24
223 MS_DRG Other Inpatient Services: Ms-DRG 3 1 — — $65,981.16 $68,451.25 $68,451.25 2025-09-24
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 8 — — $43,850.62 $102,281.85 $68,416.52 2025-09-24
4414 APR_DRG Major Bladder Procedures 3 3 — — $66,202.24 $72,034.55 $68,202.66 2025-09-24
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 8 — — $43,589.71 $101,670.59 $68,007.65 2025-09-24
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $65,744.61 $71,536.61 $67,731.21 2025-09-24
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $65,563.69 $71,339.75 $67,544.82 2025-09-24
61 APR_DRG Pancreas Transplant 3 3 — — $65,124.16 $70,861.49 $67,092.01 2025-09-24
2614 APR_DRG Major Biliary Tract Procedures 3 3 — — $64,950.69 $70,672.74 $66,913.29 2025-09-24
653 MS_DRG Major Bladder Procedures With Mcc 12 8 — — $42,597.05 $99,344.95 $66,452.02 2025-09-24
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 3 — — $64,470.72 $70,150.48 $66,418.82 2025-09-24
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 8 — — $44,481.20 $103,759.21 $66,362.57 2025-09-24
225 MS_DRG Other Inpatient Services: Ms-DRG 3 1 — — $63,957.52 $66,351.86 $66,351.86 2025-09-24
J9029 HCPCS Instill Adstiladrin, Tx Dose 8 7 — — $63,431.05 $67,554.07 $66,252.22 2025-09-24
834 MS_DRG Acute Leukemia With Mcc 12 8 — — $42,237.26 $98,502.01 $65,888.18 2025-09-24
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 8 — — $42,237.26 $98,502.01 $65,888.18 2025-09-24
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 3 — — $63,947.11 $69,580.75 $65,879.39 2025-09-24
227 MS_DRG Other Inpatient Services: Ms-DRG 3 1 — — $63,492.46 $65,869.39 $65,869.39 2025-09-24
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $63,768.32 $69,386.20 $65,695.19 2025-09-24
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $63,641.67 $69,248.40 $65,564.72 2025-09-24
5144 APR_DRG Female Reproductive System Reconstructive Procedures 3 3 — — $63,167.02 $68,731.93 $65,075.73 2025-09-24
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $63,037.18 $68,590.66 $64,941.96 2025-09-24
10 MS_DRG Pancreas Transplant 12 8 — — $52,508.25 $142,086.83 $64,888.61 2025-09-24
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 8 — — $41,581.58 $96,965.84 $64,860.63 2025-09-24
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 3 — — $62,916.92 $68,459.80 $64,818.07 2025-09-24
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $62,876.48 $68,415.80 $64,776.41 2025-09-24
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 8 — — $41,487.27 $96,744.86 $64,712.82 2025-09-24
1814 APR_DRG Lower Extremity Arterial Procedures 3 3 — — $62,693.43 $68,216.62 $64,587.83 2025-09-24
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $62,452.91 $67,954.91 $64,340.04 2025-09-24
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 8 — — $41,233.20 $96,149.64 $64,314.68 2025-09-24
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $62,385.87 $67,881.96 $64,270.97 2025-09-24
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $61,994.22 $67,455.82 $63,867.49 2025-09-24
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $61,994.22 $67,455.82 $63,867.49 2025-09-24
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $61,903.76 $67,357.39 $63,774.30 2025-09-24
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 8 — — $41,276.57 $96,251.22 $63,515.12 2025-09-24
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 8 — — $40,483.19 $94,392.49 $63,139.32 2025-09-24
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 8 — — $41,237.76 $96,160.33 $63,006.29 2025-09-24
224 APR_DRG Ventricular Shunt Procedures 3 3 — — $61,018.32 $66,393.93 $62,862.09 2025-09-24
455 MS_DRG Other Inpatient Services: Ms-DRG 3 1 — — $60,567.61 $62,835.04 $62,835.04 2025-09-24
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 8 — — $40,661.95 $94,811.28 $62,713.08 2025-09-24
7584 APR_DRG Behavioral Disorders 3 3 — — $60,526.64 $65,858.93 $62,355.56 2025-09-24
83 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $60,514.93 $65,846.20 $62,343.50 2025-09-24
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $60,349.97 $65,666.71 $62,173.55 2025-09-24
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 3 — — $60,288.25 $65,599.54 $62,109.96 2025-09-24
3634 APR_DRG Breast Procedures Except Mastectomy 3 3 — — $60,061.56 $65,352.89 $61,876.43 2025-09-24
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $59,949.82 $65,231.30 $61,761.31 2025-09-24
264 APR_DRG Other Nervous System And Related Procedures 3 3 — — $59,894.48 $65,171.08 $61,704.30 2025-09-24
1214 APR_DRG Other Respiratory And Chest Procedures 3 3 — — $59,871.06 $65,145.61 $61,680.17 2025-09-24
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 3 — — $59,823.17 $65,093.50 $61,630.84 2025-09-24
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 3 — — $59,775.28 $65,041.39 $61,581.50 2025-09-24
2304 APR_DRG Major Small Bowel Procedures 3 3 — — $59,762.51 $65,027.49 $61,568.34 2025-09-24
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 8 — — $39,238.03 $91,475.19 $61,187.93 2025-09-24
4402 APR_DRG Kidney Transplant 3 3 — — $59,382.58 $64,614.08 $61,176.93 2025-09-24
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $59,199.53 $64,414.91 $60,988.35 2025-09-24
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 8 — — $38,945.91 $90,790.87 $60,730.18 2025-09-24
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $58,810.01 $63,991.08 $60,587.06 2025-09-24
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 8 — — $38,827.26 $90,512.86 $60,544.22 2025-09-24
5184 APR_DRG Other Female Reproductive System And Related Procedures 3 3 — — $58,612.06 $63,775.69 $60,383.13 2025-09-24
A9543 HCPCS Y90 Ibritumomab, Rx 8 7 — — $56,824.55 $85,236.82 $60,234.02 2025-09-24
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 3 — — $58,065.04 $63,180.48 $59,819.58 2025-09-24
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 8 — — $38,281.11 $89,233.31 $59,688.33 2025-09-24
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 8 — — $54,220.65 $126,577.22 $59,606.88 2025-09-24
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $57,809.63 $62,902.56 $59,556.45 2025-09-24
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 8 — — $53,949.10 $125,941.01 $59,308.56 2025-09-24
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 3 — — $57,528.67 $62,596.85 $59,267.00 2025-09-24
1781 APR_DRG External Heart Assist Systems 3 3 — — $57,524.41 $62,592.22 $59,262.61 2025-09-24
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 8 — — $38,099.28 $88,807.39 $59,196.60 2025-09-24
38240 CPT Transplt Allo Hct/donor 13 9 — — $1,497.09 $106,060.50 $59,138.81 2025-09-24
8633 APR_DRG Neonatal Aftercare 3 3 — — $57,392.44 $62,448.62 $59,126.66 2025-09-24
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 8 — — $38,236.22 $89,128.17 $59,126.28 2025-09-24
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 8 7 — — $55,945.97 $60,161.89 $59,023.00 2025-09-24
1824 APR_DRG Other Peripheral Vascular And Related Procedures 3 3 — — $57,231.74 $62,273.77 $58,961.10 2025-09-24
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $57,001.87 $62,023.64 $58,724.28 2025-09-24
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $56,913.53 $61,927.52 $58,633.28 2025-09-24
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $56,779.44 $61,781.62 $58,495.13 2025-09-24
4014 APR_DRG Adrenal Procedures 3 3 — — $56,717.71 $61,714.45 $58,431.54 2025-09-24
9103 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $56,647.47 $61,638.02 $58,359.18 2025-09-24
4034 APR_DRG Procedures For Obesity 3 3 — — $56,591.07 $61,576.65 $58,301.07 2025-09-24
245 MS_DRG Aicd Generator Procedures 12 8 — — $37,365.27 $87,087.66 $58,253.10 2025-09-24
471 MS_DRG Cervical Spinal Fusion With Mcc 12 8 — — $37,140.86 $86,561.94 $57,901.44 2025-09-24
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 3 — — $56,176.01 $61,125.03 $57,873.47 2025-09-24
1793 APR_DRG Defibrillator Implants 3 3 — — $56,167.50 $61,115.77 $57,864.70 2025-09-24
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 8 — — $38,507.01 $89,762.59 $57,749.72 2025-09-24
459 MS_DRG Spinal Fusion Except Cervical W/cc 3 1 — — $54,633.00 $57,711.00 $57,711.00 2025-09-24
6 MS_DRG Liver Transplant Without Mcc 12 8 — — $37,079.25 $86,417.59 $57,694.42 2025-09-24
1833 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $55,888.67 $60,812.37 $57,577.45 2025-09-24
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 6 4 $164,045.25 $65,618.10 60% off $42,651.77 $126,314.84 $57,355.13 2025-09-24
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 8 — — $36,518.67 $85,104.19 $56,926.35 2025-09-24
799 MS_DRG Splenic Procedures With Mcc 12 8 — — $36,361.20 $84,735.29 $56,679.60 2025-09-24
4401 APR_DRG Kidney Transplant 3 3 — — $54,781.86 $59,608.05 $56,437.19 2025-09-24
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $54,744.61 $59,567.52 $56,398.82 2025-09-24
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 8 — — $46,105.97 $107,565.77 $56,350.35 2025-09-24
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 8 — — $51,193.23 $119,484.46 $56,281.06 2025-09-24
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 8 — — $35,980.13 $83,842.46 $56,082.38 2025-09-24
6504 APR_DRG Splenic Procedures 3 3 — — $54,347.65 $59,135.59 $55,989.86 2025-09-24
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 8 — — $36,354.36 $84,719.25 $55,719.82 2025-09-24
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 3 3 — — $54,077.33 $58,841.45 $55,711.37 2025-09-24
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 3 — — $53,999.64 $58,756.92 $55,631.34 2025-09-24
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $53,992.19 $58,748.81 $55,623.66 2025-09-24
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $53,750.61 $58,485.95 $55,374.78 2025-09-24
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 3 3 — — $53,731.45 $58,465.10 $55,355.04 2025-09-24
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 3 — — $53,603.74 $58,326.14 $55,223.48 2025-09-24
163 MS_DRG Major Chest Procedures With Mcc 12 8 — — $35,253.70 $82,140.55 $54,943.97 2025-09-24
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 8 — — $35,239.23 $82,106.69 $54,921.32 2025-09-24
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $53,257.86 $57,949.79 $54,867.15 2025-09-24
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $53,252.54 $57,944.00 $54,861.66 2025-09-24
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 8 — — $35,127.42 $81,844.72 $54,746.09 2025-09-24
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 8 — — $35,122.10 $81,832.25 $54,737.74 2025-09-24
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 3 — — $53,029.05 $57,700.82 $54,631.42 2025-09-24
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 3 — — $52,991.80 $57,660.29 $54,593.05 2025-09-24
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 3 — — $52,820.46 $57,473.86 $54,416.52 2025-09-24
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $52,496.93 $57,121.82 $54,083.22 2025-09-24
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $52,259.60 $56,863.59 $53,838.72 2025-09-24
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 8 — — $35,788.41 $83,393.37 $53,705.03 2025-09-24
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $52,066.98 $56,653.99 $53,640.27 2025-09-24
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 3 3 — — $52,065.91 $56,652.83 $53,639.18 2025-09-24
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 3 — — $51,832.84 $56,399.23 $53,399.07 2025-09-24
294 APR_DRG Other Percutaneous Intracranial Procedures 3 3 — — $51,800.92 $56,364.49 $53,366.17 2025-09-24
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 3 — — $51,780.69 $56,342.49 $53,345.34 2025-09-24
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